If a patient says yes but declines SAFEHOME advocacy, which resources should be provided?

• A. A direct referral to a shelter only
• B. Brochures, power and control wheel, and safety plan
• C. No resources
• D. A list of unrelated services

Answer: (B)

When someone acknowledges abuse and safety concerns but prefers not to engage with advocacy, the best approach is to offer informational and practical resources that support safety and informed choice. Brochures about available services give concrete options without pressuring participation, so the patient can decide what, if anything, to pursue later. The power and control wheel is a simple educational tool that helps the patient name and understand the abusive dynamics they’ve experienced, which can validate their feelings and clarify what constitutes control or coercion. A safety plan provides actionable steps the patient can use now to increase safety, such as identifying safe places, trusted contacts, and how to respond in escalating situations. This combination respects autonomy while equipping the patient with knowledge and practical steps for their current situation and future decisions. Providing no resources or a referral to a shelter only, or offering unrelated services, would miss the opportunity to support safety and informed choice.